Cardiology PCI Fellow

Job overview

Applications are welcomed for the position of PCI Fellow at University Hospitals Plymouth - The South West Cardiothoracic Centre opened in November 1997.  It is the tertiary referral centre for cardiothoracic services for Devon and Cornwall. This state of the art building was opened in 2007 (The Terence Lewis Building), with integrated cardiology, cardiothoracic and vascular surgery, intensive care and anaesthetic departments.

Over 118 beds are dedicated solely to the service, supporting activity of approximately 200 ablation procedures, 850 percutaneous coronary intervention cases and 1300 cardiac surgery procedures through four operating theatres, two digital flat plate catheter laboratories and a pacing lab.

There are 7 interventional cardiologists providing the PCI service, including 24/7 primary PCI. We undertake approximately 800 PCI procedures per year. The vast majority of diagnostic and interventional cardiac catheters are performed radially. Adjunctive technologies we employ include pressure wire assessment, intra-coronary imaging with IVUS and OCT, and rotational atherectomy. As a cardiothoracic centre for the region we take on complex and high risk PCI procedures. Such procedures include unprotected left main stem PCI, bifurcation PCI, graft vessel PCI and CTO PCI (both antegrade and retrograde approaches). As the interventional fellow you would be expected and encouraged to gain experience in all of these PCI opportunities.

Main duties of the job

In the 11 week cycle, the PCI Fellow will perform one week of night shifts on call split into four nights and three nights (20.00 to 08.30) and one week of late shift on call days, split into 4 and 3 long days (08.00-20.30). They will support the In-Patient Cardiology Consultation service for 1 week. They will be expected to perform 2 clinics per full week. The rest of the time will be spent in the cath lab. Weekly MDTs are available for revascularization, TAVI and endocarditis together with monthly optional meetings in ICC and PHT.

On-call commitment

Middle-grades will participate in a 1:11, full shift rota.

In patient work

The fellow will be attached to a firm consisting of 3 consultants and 2 middle-grades. You will be expected to review the inpatients attached to your firm in conjunction with your colleagues.

Education

0900-1300 monthly Continued Medical Education meeting Cardiology Consultants and SpRs will present cases, audit and literature reviews.

0800-0900 Thursday Echocardiography Meeting:

This weekly meeting is attended by the cardiology junior doctors and physiologists. The meeting includes  review of recent interesting cases.

0800-0900 Wednesday SHO teaching:

You will be actively involved in SHO teaching

Audit

The Fellow will be actively involved in audit within the directorate and report on audit projects at the regional audit meetings.

Detailed job description and main responsibilities

Post Holders are required to

• Adhere to Trust policies and procedures, e.g. Health and Safety at Work, Equal Opportunities etc.
• Work to the Trust values - Put patients first, Take ownership, Respect others, Be positive.
• Maintain personal and professional development to meet the changing demands of the job, participate in appropriate training activities and encourage and support staff development and training.
• Attend statutory, essential and mandatory training.
• Respect the confidentiality of all matters relating to their employment and other members of staff. All members of staff are required to comply with the requirements of the data protection act 1998.
• Comply with the corporate governance structure in keeping with the principles and standards set out by the Trust.
• Comply with the codes of professional conduct set out by the professional body of which registration is required for the post.
• Ensure that they are familiar with the Risk Management Framework, follow policies, procedures and safe systems of work, make known any hazards or risks that they identify and take all necessary actions to reduce risk.  All staff must ensure that they attend appropriate statutory and essential training.